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1285381046
JOSHUA RIVAS
LAKEWOOD, WA
NPI
1285381046
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 15597)
Enumeration Date
2022-03-02
Last Update Date
2022-03-02
Business Address
JOSHUA RIVAS LCDC SUDP SUDPT
9500 FRONT ST S STE 100
LAKEWOOD, WA 98499-9415
Phone number: 253-393-2478
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Mailing Address
JOSHUA RIVAS LCDC SUDP SUDPT
15517 40TH AVE W APT D202
LYNNWOOD, WA 98087-8476
Phone number: 214-250-8781
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